Discover expert tips to manage facial eczema

Facial and eyelid eczema can be among the most painful and challenging to treat. Winnipeg-based dermatologist Dr. Marni Wiseman, MD, FRCPC, shared her best tips for managing facial and eyelid eczema.

Facial eczema refers to eczema symptoms that appear on the face, and commonly on the eyelids. Facial and eyelid eczema can be challenging to treat, as the skin in these areas is thinner and can be more sensitive. The face is also exposed most of the time, so airborne allergens and irritants are likely to come in contact with this delicate skin.

Facial eczema can include typical eczema flares, characterized by rash, crusting, and bleeding. However, it can also feature additional characteristics, including cracks at the sides of the mouth, creases or folds under the eyes, and pigmentation changes that can cause the skin to become lighter or darker in affected areas.

Despite the challenges of facial and eyelid eczema, the good news is that it is often treated similarly to eczema on the rest of the body, with some special considerations.

Dr. Wiseman shared some of her best tips:

• Petrolatum is a good choice for a facial flare to create a protective barrier that locks in moisture, and as it is unlikely to sting or burn the skin
• A cool compress or cool packs can bring relief (use a soft, damp, clean cloth)
• Patch testing new products on a small area of skin, such as the inside of your arm, before applying them to larger areas, including the face.
• Eye makeup and eye makeup remover can irritate an eyelid flare and may be helpful to avoid during flares.

Eyelid eczema can also lead to patients rubbing their eyes, which should be avoided and managed. Non-preserved moisture-replenishing eye drops can help hydrate the eyes and reduce irritation. Any eye rubbing or irritation should be reviewed with your health care provider. Eye rubbing in children can also be an early sign of eye conditions, and an eye doctor can help manage eye health with regular check-ups and consultations.

What about treatments for facial inflammation? Facial and eyelid flares can also be treated with topical treatments, and a qualified health care provider, such as a dermatologist, can help recommend safe and effective treatments.

Eczema Society of Canada thanks dermatologist and researcher Marni Wiseman, MD, FRCPC, for her contribution to this educational content.

This content was created as part of the 2025 Life with Eczema educational program.

Disclaimer: Information provided in this resource does not constitute medical advice and is not intended to be used as a diagnostic tool. The information is up-to-date at time of publication. All medications, interventions, and treatment plans have risks and benefits, and it is important that individuals discuss their or their child’s specific healthcare needs with a qualified healthcare professional.